HomeMy WebLinkAbout06-5367
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5367
Permit Number: 5367
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 7,360.00
Date Issued: 1/31/2006
Total Fees: 70.00
Amount Paid: 70.00
Date Paid: 1/31/2006
Work Desc: RE-ROOF-SHINGLES
Address: 39114 7TH AV
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-002A-01000-0010
LE , PHYLLIS
39114 7TH AV
ZEPHYRHILLS, FL. 33542
Phone:
L
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y'{' 0\\ ~.,y
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement. n
NO OCCUPANCY BEFORE C.O.
~cJ4~ ~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUI;LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
I 813-780-0020 FAX: 813-780-0021
DATE RECEIVED
I PHONE CONTACT FOR PERMITTING
d3dol,..
OWNER'S NAME
~~~ ~1:! zLU
PHONE
JOB ADDRESS
-#
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # I)..-:;l(, ~l- 00:.211-0 /OQO -00' 0
(OBTAIN FROM PROPERTY,TAX NOTICEl
WORK PROPSED: []NEW CONSTRUCTION
OSIGN
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
[] INDUSTRIAL
[]# OF UNITS
o SWIMMING POOL
o MOBILE HOMI
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK .~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
$
7JfcOf$-
PERMITS REQUESTED
o BUILDING
VAL~ATION OF TOTAL CONSTRUCTION
[] ELECTRICAL
o PLUMBING
AMP SERVICE
[] Progress Energy []
W.R.E.C.
[] MECHANICAL $
[] GAS ~OOFING 0 SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
[] FRAME
[] STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
~t"'-)'-~""i:rr:rl!-'-I~ --;-.-, ,- ~-i--'-""'t- ~.,....,., -~ ..,.,..-.. _.~"" - ~ "r'l- - ~~~ .,..........~-~- -~ - ! - - ......," ,1'-1 t I" I "'"'I""" 7:-~" -;-:j-s;;~n.~~u~;~
~~"II'~IJ"~'ll It; I ~I r , ~ ! 'I I t" li, ~~,,!t'tJ'-'rrit
.:...~~~_~~_~~~~~I___j_l..ll.2_LJ..:. _____h__~_.!__~~__ ... __ _ ___ __ ___ ~_~~......-_~.:.L-......L~~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OTHER k>oo~-
SIGNATURE .0~
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COMPANY uj~ (2fJ~
STATE CERT OR REGIST '"' ere. 0$7/1./ L-
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than city regulations. The undersigned assumes responsi~ility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contra,~tors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this ~pplication for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuahce of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a. "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall ,be ,construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for ~a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to'the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS 'TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
kr",)~ ~~AL
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
,20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _day of " 20_
by w- J.sz,- "2..1 "L- 50-- ~o-<:-- .0
(name of person acknowledged)
C1ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
Owho is personally known to me, or
o who has produced
(type
and wlioO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who 0 did [):iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
II11I11 111111111I1111111111111111111111111111111111111111111
2006018421
State of
~~
NOTICE OF COMMENCEMENT
Repl: 964456
DS: 0.00
01/30/06
Rae: 10.00
IT: 0.00
---_ Dpty Clerk
County of
(J~
THE tfflDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. J2-- 2(..-AI- oo:2.A - 01 OlOO _ cDo to
2.
General Description of Improvement ~
(Legal description of the property and street address if available)
JED PITTMANf PASCO COUNTY CLERK
01/30/06 0 : 3'!pm 1 of 1
OR BK 681~ PG 1828
Address 39//'1
t-;~
City
State
3. Owner Information: Name r h. ~
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
R
Contractor: Name J~"'v~ ~
Address :J)'l:J7 ~,,4..;~ City c;,. .
5.
SUL'ety: Name
State atf
3.3,)2,3
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1) (a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of
Lienor's
to receive a copy of the
Nqtice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp~ratlon date 01 Notice or Commencement (the expiration date is 1 year
rr0m the date of recording unless a different date is specified.)
Signature of Owner: A'jJL /Y}, Clcv....J.~
Sworn to and subscribed before me this dlJ""'. day OfJ "... "~
~O\ f . ~' \
Notary publi~_ J..A, '1~ W .. 0 "-'--
My Commission Expires: _~o-J 2 200 ~
J
,
SHERRY~R
NIiI(y NIt. .. of FIoridI
Mr Cormillion~, NMmIIr~, m
Ctm.,. DOP7
PC93053048